1. SC/ST COLLEGE FORM
1 Academic Year
2 Course
3 Year
4 Lateral Entry
5 Date of Admission
6 Student Reg.No.
7 Student Unique ID
8 Name of the Applicant
9 Father’s Name
10 Mother’s Name
11 Date of Birth
12 Occupation
13 Gender
14 Community
15 Caste
16 Annual Income
17 Admission Mode Government / Management
18 10th Register No.
19 12th Register No.
20 Email
21 Mobile No
22 Bank Account No
23 Bank Name
24 Bank Address
25 IFSC Code
26 MICR Code
27 Aadhaar ID No
28 Correspondance Address
District
Taluk
Pincode
29 Permanent Address
District
Taluk
Pincode
30 Hostel Details Yes / No
31 Hostel Name / Address
32 Date of Joining
Enclosing:
1. Community Certificate Original & Photocopy
2. Income
3. Bank Pass Book First Page Photocopy
4. Aadhar Card Xerox Copy
